Solitary fibrous tumor of the thyroid: Cytopathologic findings and differential diagnosis

Anil V. Parwani, Rene Galindo, David M. Steinberg, Martha A. Zeiger, William H. Westra, Syed Z. Ali

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Solitary fibrous tumor (SFT) is an uncommon mesenchymal neoplasm that arises primarily from the pleura. Extrapleural occurrences are rare. To our knowledge, there is no published account of this entity in the thyroid in the cytopathology literature. We report the case of a 61-yr-old man who was evaluated at The Johns Hopkins Hospital for a slow-growing thyroid mass that was present for 2 yr despite thyroid hormone suppression. Thyroid-stimulating hormone (TSH) was within normal limits. The patient underwent ultrasound-guided fine-needle aspiration (FNA), which showed predominantly discohesive slender spindle-shaped cells and fragments of collagenized stromal tissue. After the FNA diagnosis of "thyroid neoplasm" was made, the patient underwent a near-total thyroidectomy, which revealed a SFT. Differential diagnosis of spindle cell lesions in thyroid is also presented.

Original languageEnglish (US)
Pages (from-to)213-216
Number of pages4
JournalDiagnostic cytopathology
Volume28
Issue number4
DOIs
StatePublished - Apr 1 2003

Keywords

  • Cytopathology
  • Fine-needle aspiration
  • Solitary fibrous tumor
  • Thyroid

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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